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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 2 )

Updated On: 12-Jan-2026
Page 2 of 345
PDF with 862 Questions

When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

  1. Fruit juices
  2. Diluted carbonated drinks
  3. Soy-based, lactose-free formula
  4. Regular formulas mixed with electrolyte solutions

Answer(s): C

Explanation:

(A) Diluted fruit juices are not recommended for rehydration because they tend to aggravate the diarrhea. (B) Diluted soft drinks have a high-carbohydrate content, which aggravates the diarrhea. (C) Soy-based, lactose-free formula reduces stool output and duration of diarrhea in most infants. (D) Regular formulas contain lactose, which can increase diarrhea.



A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies this behavior as which defense mechanism?

  1. Denial
  2. Displacement
  3. Regression
  4. Projection

Answer(s): C

Explanation:

(A) Denial is the disowning of consciously intolerable thoughts. (B) Displacement is the referring of a feeling or emotion from one person, object, or idea to another. (C) Regression is returning to an earlier stage of development. (D) Projection is attributing one's own thoughts, feelings, or impulses to another person.



A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the risk of retrolental fibroplasia is to:

  1. Maintain O2at <40%
  2. Maintain O2at>40%
  3. Give moist O2at>40%
  4. Maintain on 100% O2

Answer(s): A

Explanation:

(A) Retrolental fibroplasia is the result of prolonged exposure to high levels of O2in premature infants. Complications are hemorrhage and retinal detachment. (B, C, D) O2concentration is too high.



A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

  1. Control the delivery by guiding expulsion of fetus
  2. Leave the room to call the physician
  3. Push against the perineum to stop delivery
  4. Cross client's legs tightly

Answer(s): A

Explanation:

(A) Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations. (B) The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause fetal distress and does not stop the delivery process.



A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine how his myocardial infarction has affected his ventricular wall motion. When the client asks if this test is painful, an appropriate response is:

  1. "No, but you must be able to ride on a stationary bicycle while the test is being performed."
  2. "No, but you will have to lie still and the gel that is used may be cool."
  3. "Yes, but your physician will be there and will order pain medicine for you."
  4. "Your physician has ordered medicine, which you will be given before you go for the test, which will make you sleepy."

Answer(s): B

Explanation:

(A) Riding a stationary bicycle or walking on a treadmill is done during a stress test. (B) During an echocardiogram, the client must lie supine while a technician performs the test. To perform the test, the technician uses a conductive gel and a transducer to obtain ultrasound tracings of the heart. (C) A physician need not be present during an echocardiogram, and it is neither invasive nor painful. (D) There is no premedication required for an echocardiogram.



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